HomeMy WebLinkAboutUST Minor Mod Permit App 6-23-2016WATER TO FACILITY PROVIDED BY
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BAKERSFIELD FIRE DEPARTMENT
Prevention Senrices�
UNDERGROUND STORAGE TANK
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1501 Truxtun Avenue, 1 Floor
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PERMIT APPLICATION FISH
CA 93
Bakersfield,, 301
Phone: 661 -326 -3979 • Fax: 661- 852 -2171
TO CONSTRUCT-INSTALL NEW TANK (NEW FACILITY) /NEW
TANK INSTALL (E)ISTING FACILIM /MOD -MINOR MOD
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NEW TANK INSTALL/NEW FACILITY ❑
NEW TANK INSTALL/E.XISTING FACILITY
TYPE 4F APPLICATION: ❑
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MINOR MODIFICATION OF FACILITY
CHECK ONE ONLY MODIFICATION OF FACILITY
PROPC3S SON DATE .
STARTING DATE/
E�STING FAC 1 TfY PERMIT #... .
FAcnXrY NAME
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FACILITY ADDRESS
APN #
TYPE OF BUSINESS
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PHONE # U Lo
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TANK OWNER ®
CITY
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BRIEFLY DESCRIBE THE WORK TO BE DONE: j
WATER TO FACILITY PROVIDED BY